Observational studyInternational journal of environmental research and public health2023
Impact of Wound Dressing Changes on Nursing Workload in an Intensive Care Unit.
Observational study in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A network meta-analysis of the timing of wound dressing removal.Annals of the Royal College of Surgeons of England · 2025Pooled it
- Integrating Artificial Intelligence in Nursing Practice With Decubitus Risk Prediction Alerts: A Pilot Process Evaluation.Journal of clinical nursing · 2026Article
- Impact of Early Dressing Removal After Cesarean Section on Wound Healing and Complications: A Systematic Review.Cureus · 2024Review
- Acute care nurses' experience in providing evidence-based care for patients with laparotomy wounds: A scoping review.International wound journal · 2024Article
- Burden of nursing care: a concept analysis.Revista CuidarteArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this study is to understand how the type of wound dressing changes (routine or frequent) in patients admitted to intensive care units influences nurses' workload. This study used a database of retrospective and analytical observational study from one Portuguese intensive care unit. The sample included 728 adult patients admitted between 2015 and 2019. The nursing workload was assessed by the TISS-28 scale, both at admission and at discharge. The linear regression results show that patients with frequent dressing changes are associated with a higher nursing workload, both at admission (Coef. 1.65; 95% CI [0.53; 2.77]) and discharge (Coef. 1.27; 95% CI [0.32; 2.22]). In addition, age influences the nursing workload; older people are associated with a higher nursing workload (at admission Coef. 0.07; 95% CI [0.04; 0.10]; at discharge Coef. 0.08; 95% CI [0.05; 0.10]). Additionally, an increase in nursing workload at admission would significantly increase the nursing workload at discharge (Coef. 0.27; 95% CI [0.21; 0.33]). The relative stability of the nursing workload over the studied years is also another important finding (the influence of studied years is non-significant). In conclusion, patients with frequent dressing changes presented higher TISS-28 scores when compared with patients with an exchange of routine dressings, which leads to a higher nursing workload.
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